Provider Demographics
NPI:1669814596
Name:BRANDEN HICKS INVESTMENTS, INC.
Entity Type:Organization
Organization Name:BRANDEN HICKS INVESTMENTS, INC.
Other - Org Name:MEDICAL SUPPLIES OF CENTRAL GA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:478-552-6000
Mailing Address - Street 1:618 S HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:SANDERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31082-2821
Mailing Address - Country:US
Mailing Address - Phone:478-552-6000
Mailing Address - Fax:478-552-3700
Practice Address - Street 1:618 S HARRIS ST
Practice Address - Street 2:
Practice Address - City:SANDERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31082-2821
Practice Address - Country:US
Practice Address - Phone:478-552-6000
Practice Address - Fax:478-552-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies